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Tendon of Todaro

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Tendon of Todaro
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The tendon of Todaro is part of the fibrous skeleton of the heart, located in the right atrium. It was described[citation needed] by Italian anatomist Francesco Todaro. It is a continuation of the Eustachian valve of the inferior vena cava and the Thebesian valve of the coronary sinus.

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Dissection in right anterior oblique view of the right atrium. TT: tendon of Todaro; ER: Eustachian valve, CSO: coronary sinus

It delimits the antero-superior boundary of the triangle of Koch. The apex of Koch's triangle is the location of the atrioventricular node.[1]

The tendon is near-impossible to locate in a living heart, so clinicians use other features to determine the boundaries of the Koch's triangle.[2] Some cardiologists even go as far as rejecting the usefulness of the tendom as an anatomical landmark altogether.[3]

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